Active NPI
Nina Marie Tioleco, M.D.
- Child & Adolescent Psychiatry Physician
- Orangeburg, NY
National Provider Identifier
1043531973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 265965
- Practice address
- 2 1St Ave
Orangeburg, NY 10962-1106 - Phone
- (845) 292-0362
- NPI assigned
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 265965 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 265965 | NY | Primary |
Addresses
Primary practice location
2 1St Ave
Orangeburg, NY 10962-1106
Mailing address
PO Box 5
Port Jervis, NY 12771-0005
Phone (917) 745-5335
Other practice location 1
323 W 96th St Ste 2
New York, NY 10025-6281
Phone (917) 745-5335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Discovery Inc | Current | Accepting new patients | |
| The Center for Discovery Inc | Current | Accepting new patients |
Locations
606 Old Route 17
Monticello, NY 12701
Phone (845) 707-8400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Monticello, NY
- NPI 1275624694
-
- Intellectual Disabilities Intermediate Care Facility
- Rock Hill, NY
- NPI 1669202610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1043531973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127710005",
"telephone_number": "917-745-5335",
"fax_number": "425-559-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 1ST AVE",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109621106",
"telephone_number": "845-292-0362"
}
],
"practiceLocations": [
{
"address_1": "323 W 96th St Ste 2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100256281",
"country_code": "US",
"telephone_number": "917-745-5335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIOLECO",
"first_name": "NINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "265965",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "265965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.